Fractures around Trochanteric Nails: The “Vergilius Classification System”

Table 3

Published peri-implant femoral fracture classifications.

Authors	Journal	Year of publication	Pros	Limitation	Main differences with the present classification
Skela-Rosenbaum et al.	Injury	2016	Treatment-oriented classification; classification included only PNFs; evaluated fracture occurred around a single type of nail	Not validated; did not consider the original fracture healing status; classified fracture occurred only around short nails	Original EF healing status considered; classification of fracture occurred around long nails; comprehensive morphological classification; evaluation of fracture fragmentation
Chan et al.	Arch Orthop Trauma Surg	2017	Treatment-oriented; evaluated the original EF healing state	Included also fractures occurred around plates; did not include fracture occurred in the proximal part of the nail; did not consider fracture fragmentation and morphology	Comprehensive morphological and anatomical classification; classification of fracture occurred only around TN; evaluation of fracture fragmentation
Videla-Cés et al.	Injury	2018	Large cohort, comprehensive anatomical and morphological classification	Not treatment-oriented; included also fractures around plates; not validated; did not consider the original fracture healing status; did not consider fracture fragmentation	Original EF healing status considered; fracture fragmentation considered; classification of fracture occurred only around TN